Schulte, Schwartz look for help investigating HIT

Regular readers know that we always keep an eye out for updates from Fred Schulte and Emma Schwartz, the duo from the Huffington Post Investigative fund that refuses to let the Obama administration’s push for health information technology proceed without scrutiny. This time, they’re following up on past work with stories on HIT-related errors and […]

Investigation reveals failings in adoption of electronic health records

Over the past decade, federal spending of $36 billion to stimulate health providers’ conversion of patient medical records from piles of paper to electronic format was supposed to make care safer and lives easier. It would illuminate epidemiological trends that could stop spread of disease or point to a preventable culprit. It might even make […]

Lawsuit claims UnitedHealthcare concealed Medicare Advantage enrollment fraud complaints

A recently unsealed whistleblower lawsuit claims that UnitedHealthcare concealed from federal officials hundreds of complaints of enrollment fraud and other misconduct in its Medicare Advantage program. Brought by two UnitedHealthcare sales professionals in Wisconsin, this suit is worth watching because it is the third in recent months that whistleblowers have brought using knowledge they gained […]

Lawsuit may indicate change in government’s pursuit of insurance fraud

A 2011 lawsuit unsealed last week reveals the inner workings of the nation’s largest health insurer, UnitedHealth Group. In the lawsuit, lawyers for the plaintiff allege that UnitedHealth evaluated certain employees on how well they raised risk adjustment scores. The lawyers contend the practice was part of a scheme to increase payments from the federal Centers […]